Female folk are those considered with a high risk, consequently death occurring from pregnancy and child baring related problem which VVF is one of them. This project had outlined the cause of VVF patient due to educational level, occupation and ages of VVF patients. An attempt is to made to analysis the VVF data collection the health recorded medical office general hospital Babura from 1995-2004 a suitable statistical tools employed in this study are chi-square test and one way ANOVA. The three causes of VVF considered in this study are obstruction of labour, MISUSED of instrument and Yankan Gishiri, it was founded that the VVF disease is depend on the patient age by use chi-square test. The result shows that there is significant difference in the incidence due to the educational level to the patient. The result also shows that the actual difference existed among illiterate and those with primary levels by using Duncan test. The result show that there is significant difference among occupational level of patients also the difference is found to exist between housewife and trader.
TABLE OF CONTENT
List of tables
Historical Background of the Study Area
State of the Problem
Aims and Objectives
Motivation of Study
Scope and Limitation
2.1 Literature Review
2.2 Female Circumcision
2.3 Surgical Cut
3.2 Source of Data
3.3 Data Presentation
3.4 Chi-square Test
3.5 Analysis of Variance
3.6 Duncan’s Test
4.1 Data Analysis
4.2 Interpretation of Data
4.3 Test of Significance Using Chi-square
4.4 Analysis of Variance
Vesico vaginal fistula
(VVF) is a subtype of female urin ogenital fistula.
VVF is an abnormal fistulae tract extending between the bladder and the vaginal that allow continuous involuntary
discharge of urine into the vagina vaults. VVF is an abnormal communication
between the structures.
The world Health
organization (WHO) argues that poor social and economical development is the
basic underlying factor responsible for, maternal health, including the
prevalence of obstetric fistula, it further argues that the standards of health
in developing countries are low and that natural hazard such as, malnutrition
and infection remains largely unchecked in developing countries the predominant
causes of VVF is obstructed labour. VVF are
associated with marked pressure necrosis, edema, and tissue sloughing the
frequency of VVF largely is under reported in developing countries.
Majority, if not all of
the dangerous practices which are harmful to maternal health in Nigeria are
done under the guise of traditional or cultural
beliefs and inclination. Traditional practices are those practices that have been handed down from generation to
generation they have a bearing on a set of actions and behavioral of specific
ethnic or tribal groups.
Women are considered as
a high risk group they die more from pregnancy, and pregnancy related problems
than from any other causes. In this regard, Nigeria's case of maternal
mortality of 15 per 100 death-births in 1999 as
reputedly among the highest continent (ransomokuti 1999). Reported the
situation in General Hospital Jigawa State that obstructed labour features as
the antecedent event in the majority of causes of maternal mortality that as
much as 31% of maternal death was recorded among women aged 19 years but it can
not be over emphasized, that early Married has negative effect on the
psuchological, physical and social well being of the young girls. Where
pregnant occurs the entire make up- of the girl is not yet developed for such
function as nurturing a body with out damaging the soft disuse in the pelvic
areas. Other complications which may arise from teenage pregnancies include
exacerbated pregnancy obstructed and higher risk of material and child
morbidity and mortality which can lead to vesico-vaginal fistula. Causing
continuous and un-control leakage of urine how ever pecul problem are handled
is a great challenge now and in the year to come.
VVF refers - to abnormal or morbidity communication between the urinary bladder
and the vagina. The result is the woman in ability to control urine as a result
of which she continuously dribbles urine. The moment the bladder is fuel with
urine it automatically empties and leaks in to the vagina through the abnormal communication.
She develops sores and smell horrible from continuous flow of urine on her
(VVF) is one of the worst morbidities associate with
delivery. VVF is an abnormal opening of the
vagina wail to the bladder or rectum or both at the same time they results in
the leakage urine (VVF) or faeces (RVF) or both. (Harrison 1980). The causes of
VVF are obstructed labour, accident during operation that is traditional
surgical procedures. These are the factors that lead to existing high rate of
VVF in that area.
has been estimate that there are currently about 150,000 - 200,000 women
suffering from VVF in Nigeria. (Murphy: 1988 and Harrison 1988). An evaluation
report released by chief physician on VVF Dr. Kees Naaldijk revealed Kano and
Katsina states alone has 6,47 VVF cases.
1.1 HISTORICAL BACKGROUND OF THE STUDY AREA
State General Hospital was established commissions in the year 1982 by the late
Alhaji Abubakar Rimi the Governor of old Kano State.
The hospital has currently bed
capacity of 156 ad of course the facility has a total number of 205 catchment
population of 400,850 Jigawa State General Hospital has total number of staff
as follow, medical officers 14, medical record staff 8, and other 78. The
facilities officers the following services out patient care, accident and
emergency, antenatal care, post natal care immunization x-rays counseling
testing of HIV that reach service family planning, maternity ward only for VVF patient, nutrition health
record dental service quality assurance and blood banking system. And also
hospital has the following facilities for the VVF patient, urine bag, external
drugs, physiotherapy band exercise etc.
1.2 STATEMENT OF THE PROBLEMS
vaginal fistula (v v f) is a preventable diseases of public heailth fold
important which is predominant among the women in the Nigeria the high of vvf
in the fold with about 40000 to 80000 women have a problrms. 20,000 new cases
occurring usually this make me to this research on that area.
1.3 AIMS AMD OBJECTIVES
The aim of this
research is to analysis the reported incidence on vvf among women in Jigawa
State for the period of 2010-2020.
The specific objectives of this study are:
To identify the cases of VVF among the women in Jigawa state
To test where there significant difference
on the incident base on education, locality and age.
1. 4 MOTIVATION OF STUDY
The cause of VVF are
quite high more especially in the northern part of Nigeria, the aim of this
research is to find out the possible factors contributing to the causes of this
disease. The factors put forward ranges from early marriage to lack of
adequate, antenatal care, high illiteracy rate as well as patronage-to herbal
and (traditional medical doctors). The incidence of VVF among woman in Jigawa
State which is attributed to obstructed labour leading to destruction of the
vagina tract due to immaturity of the body to perform reproductive functions.
This problem has been of great concern to government and health agencies who
care for pregnant and delivering mothers. Therefore, this study is to ascertain
what has been responsible for his ailment possible solution.
1.5 SCOPE AND LIMITATION
This project is based
on data on vvf data recorded in the general hospital jahun jigawa state, the
date collected related to the age locality and level of education of the
patient. For the period of 2010-2020.
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